MOUNTAIN VIEW FOOT AND ANKLE SPECIALISTS INC (NPI# 1720590037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720590037 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN VIEW FOOT AND ANKLE SPECIALISTS INC |
| Practice Address |
44 N 1st E Preston ID 83263-1326 |
| Mailing Address |
2310 N 400 E Ste A Logan UT 84341-1796 |
| Practice Telephone | 4357872000 |
| Practice Fax Number | 4357871913 |
| Mailing Telephone | 4357872000 |
| Mailing Fax Number | 4357871913 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | SPENCER BOWEN HENINGER (DPM/OWNER) |
| Authorized Official Telephone | 4357872000 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE NSC | 7627130003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761090 | Mountain View Foot and Ankle Specialists Inc | Podiatrist | 1030 Medical Dr Ste A, Brigham City, UT 84302-3276 | 2005-06-21 |
| 1578569646 | Mountain View Foot and Ankle Specialists Inc | Podiatrist | 2310 N 400 E, Suite A, North Logan, UT 84341-1788 | 2005-06-23 |
| Street Address |
44 N 1ST E |
| City | PRESTON |
| State | ID |
| Zip Code | 83263-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376579003 | Franklin County Medical Center | Pharmacy | 44 N 1st E, Preston, ID 83263-1326 | 2006-06-24 |
| 1720320260 | Kimberly Gary Allen | Pharmacist | 44 N 1st E, Pharmacy, Preston, ID 83263-1326 | 2013-03-22 |
| 1548355811 | Franklin County Medical Center | Home Health | 44 N 1st E, Preston, ID 83263 | 2006-10-04 |
| 1104840487 | Alan D Holt | Nurse Anesthetist, Certified Registered | 44 N 1st E, Preston, ID 83263-1326 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735493 | Marie Luke | Massage Therapist | 8 South State, Preston, ID 83263 | 2018-09-26 |
| 1881945921 | Michael David Earley | Chiropractor | 645 N State St, Preston, ID 83263 | 2012-09-28 |
| 1184872632 | Joel Thomas Webb | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2008-09-08 |
| 1245490390 | Daniel Yugi Patten | Family Medicine | 47 N. 1st E., Preston, ID 83263 | 2008-06-12 |
| 1144313610 | Tifani Waechtler | Physical Therapist | 43 North 100 East, Preston, ID 83263 | 2006-10-02 |
| 1215035969 | Larry's Family Pharmacy, Inc. | Pharmacist | 217 South State St., Preston, ID 83263 | 2006-09-20 |
| 1801909122 | David Bradley Beckstead | Family Medicine | 41 North 1 East, Preston, ID 83263 | 2006-08-17 |
| 1922022482 | Alan D Holt | Nurse Anesthetist, Certified Registered | 44 North 100 East, Preston, ID 83263 | 2006-07-27 |
| 1780979914 | Stuart G Knapp | Family Medicine | 47 N 1st E, Preston, ID 83263 | 2011-06-15 |
| 1104135326 | Chantee I Wyatt | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2010-10-05 |
| Find all providers in zip 83263 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
| 1396023446 | Kurt Earl Kinghorn | Podiatrist | 1828 S Millenium Way Ste 200, Meridian, ID 83642-5036 | 2011-07-22 |
| 1649506536 | James Rex Cutler | Podiatrist | 76 E 1st S, Rexburg, ID 83440-1936 | 2009-10-27 |
| 1174756316 | Daniel Matthew Wettstein | Podiatrist | 476 Cheney Drive West, Twin Falls, ID 83301 | 2009-09-03 |
| 1578576732 | Bruce G Tolman | Podiatrist | 1540 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2006-08-15 |
| 1679514186 | Ryan Averett Dpm PC | Podiatrist | 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814-2697 | 2006-06-08 |
| 1245216647 | Kert W Howard | Podiatrist | 1555 E Clark St, Pocatello, ID 83201-4133 | 2005-12-16 |
| 1093717787 | Richard Michael Allen | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2005-08-11 |
| 1447257076 | Bradley J Capawana | Podiatrist | 619 S Washington St, Ste 103, Moscow, ID 83843-3090 | 2005-06-28 |
| 1326042045 | Michael J Drager | Podiatrist | 850 W Ironwood Dr, Ste 301, Coeur D Alene, ID 83814-4903 | 2005-06-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.